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Effect of pregnancy on uterine-sparing pelvic organ prolapse repair

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Abstract

Introduction and hypothesis

The impact of pregnancy on pelvic organ prolapse following surgical repair is not well understood. We describe five cases of pregnancy following uterine-sparing surgical treatment of pelvic organ prolapse. We analyzed the changes in women’s Pelvic Organ Prolapse Quantification (POP-Q) scores. We hypothesized there would be significant improvement in anterior and apical prolapse after surgery and no recurrence of prolapse after pregnancy.

Methods

We performed a retrospective review of the electronic medical record for cases of uterine-sparing apical suspension performed between January 2004 and December 2012 at Boston Medical Center. Student’s t-test for paired design was used to compare the change in POP-Q score at points Aa, Ba and C obtained at preoperative, postoperative and postpartum visits.

Results

Subjects in our series demonstrated significant improvement in their prolapse at all POP-Q points of interest between the pre- and postoperative visits, particularly at point C. There was a slight increase in POP-Q score from the postoperative visit to the postpartum visit, but this change was not statistically significant.

Conclusions

Our findings are consistent with previous literature, suggesting that the results of uterine-sparing apical prolapse repair are maintained after pregnancy. Women may be counseled to consider surgical prolapse repair even if they have not completed childbearing.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Boston University School of Medicine, 85 E. Concord Avenue, 6th Floor, Boston, MA, USA

    Tejumola M. Adegoke, Olivera Vragovic, Christina Deck Yarrington & Jean-Robert Larrieux

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  1. Tejumola M. Adegoke
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  2. Olivera Vragovic
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  3. Christina Deck Yarrington
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  4. Jean-Robert Larrieux
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Contributions

TM Adegoke: Manuscript writing, manuscript editing.

O Vragovic: Data management, data analysis, manuscript editing.

CD Yarrington: Manuscript editing.

JR Larrieux: Project development, project management, data collection, manuscript editing.

Corresponding author

Correspondence to Tejumola M. Adegoke.

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Presentations

Successful Pregnancy and Outcomes after Sacrohysteropexy for Uterine Prolapse, International Continence Society, 48th Annual Meeting, Philadelphia, PA, August 28–31, 2018

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Adegoke, T.M., Vragovic, O., Yarrington, C.D. et al. Effect of pregnancy on uterine-sparing pelvic organ prolapse repair. Int Urogynecol J 31, 657–662 (2020). https://doi.org/10.1007/s00192-019-04179-2

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  • DOI: https://doi.org/10.1007/s00192-019-04179-2

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